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Home My WebLink About92-2032 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit -"1'0 J:., . Date I - r - 7 / 203211. , , ~~ E~L ~G ----=- ---~ ~~ Sewer Conn Water Conn: Pmpeny Owne, ~1:R fri. Job Address: ,~ / Y Water Meter: T.I.I=.'5: Parcell.D. # Zoning: Energy Code: Description of Work # C Ii~ C? ~n Gas: FINAL ~2 -;;l y- 9-3 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ ~ Signaturelt /..<L/~~~ Company Address Telephone# Valuation or Contract Price ~ &- DO. trV City License Registration # q / State Certified License# CA-C () 3s 1ft BUILDINLJ -- EL~AL PLU~G ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. fORT LAUOEROAli 500 S.W. 21 II TERR. B 103 FORT LAUDERDAlE. FL 3331 2 DADE: 621-&412 BROWARO: 781.5606 BOCA RATON: 3M-178l1 WEST PAUl BEACH 1387 N. KlU..lAN lAKE PARK, FL 33403 P ALJ.4 BCH.: 104!>-10407 MARTIN: 283-_ ST. LUCIE: 461.Q278 -. Control Systems Southwest Inc. CORPORATE OFFICE 6280 ARC WAY: FORT MYERS. FL 33912 FL WATS: 1 (800) 432.5562 fORT IolYERI 62elJ ARC WAY FT. MYERS, FL33812 CHARLOTTE: 838-8858 LEE: 27s.t720 COWER: 587.18l1O SP No. 5 S 3l'.~_ SERV1CE INVOICE PASCO ~1212 ., TAMPA $T. ..ETEIISBURa 4241 114111 TERR. N. CL.EAAWATER. FL34e22 CL.EAAWATER: 57~ TMlPA:. 225-1378 LAKELAHO 687 -03Il6 - WORKTOBEDONE LLJ-~,evY\yL ~21 I" DATE -4-1+12-- ,;., L-oyy <VLA / ('.J'" - I SOURCE -- COST QTY. ITEM . " (^ )()~ =- f V/V _ ___--L2-____ --,- KD1:5rJZ - ~,) (.-/LJCNunt (0/ /f/ff { LArJ/7 / IV to-AJ -- I iF YOI~ t\RE S/\ TISFIED \I\IITH THE SERVICE YOU RECEIVED I rOD/~'Y TELL ,0. Ff'~IE[\JD IF NOT PLEASE TELL US :' . j' !! I / /I /' '" fJ ( q 1(/ rC- L L{ > -/ ()7Y~ ~ "- HIe; f) II) 12()u.( lm&\~ m 0; r5f!- I d-L&<--fYl (/\I u/Yl Cor (,$ A-rJ Y .. rc Cf ( I' TIME ARRIVED TIME DEPARTED TIME DEPARTED SERVICE PARTS PLEASE PAY FROM THIS INV;~ICE TERMS: NET DUE ON~OMP. ETION ~/ (j) I ThiS invOlc is SU~~J.C 0.. Fmance Charge .1 .20/0 P,.' monlh.~nnu '\ercentage ~t I 16' which IS -0 allowed law Z ../"\ illS ag ed it under ood y the lie; ulpmenl ;In<t-i>ans Ich a!.~!l.';~l here10 shall..NOT '7 bKO e IU.I ,. 0' P 1 Ihe eSf re e;Qe aled Ic;t..paT<<"a1d e!!J;t6fJ1fnl shillU "-1~elO .dIIIrl. ,.~t'npeaIP( e o1nd 81111 . os lI)ma.ri elleruntllp~~ILI I "~J~'-',' he' by r Iha ;.~J.. d eq re I'! tI In the ~v~nl ~ nrl.J7 ~e re..\'er~ue 10' w an, ':'~~ loon. - f ':~ '- /.......... ,:- .. .. I have aut~ I'!./O orde lilt! work's oullllled above ~ure HJ p~~ anlJ rttil$ondbll,! dllOHlIs hw> If liltS L J invOice I' ~ cer In Ihe ~and5 of an allorney lor colle on ....... \..7) ." . \\ ,<., -::;;. ~ (../;.) $ /J,{J) 0) ....... ~\ S G ~ATURE _ 1./ /:.1 o../A 117_ (i' ~ ~ & 7)("" ~ " ~ /' R:.-lY- I ~ "f r ~ .-- $ / - -.; ~MEf\ollS I flfATURE . If' , 1\ ~.~) $ /20fJ ' c ) ~ ~~~ ~YL 11, rt.J4~ 1/ tr 5~ IEBl TRAVEL TIME TO FROM TiME ARRIVED SERVICE LABOR !DUf CUSTOMER DISCOUNT TOTAL CHARGE DEPOSIT - (}JON ( II!.ALAN..x~ QUE_ ) {')Ifl f/1)t(...'TUT V OWNER LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK . SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ~tall ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____~~ of Uni ts ,--JI/ H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: L_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** "COPY OF CONTR.\CT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL ,..--MECHANICAL Service Florida Power Corp. _W.R.E.C. MIP $ Q /C1{)U ) Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Silffiature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Company /. I d~ . State Cert. or Regist. II SignaturU )./ KL/ %---'City License Registration ...,...: ................................. OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY _ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to ~deed restrictions" Which lay be .ore restrictive than City regulations. The undersigned assuaes responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner his hired a contractor or contractors to undertake IOrt, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be cited for a lisd...anDr violation under state lal. If the owner or intended contractor are uncertain as to Ihat licensing requireaents IIY apply, for the intended work, they are advised to contact the City Df Zephyrhills Building Departlent, (813) 788-6611. Further..re, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will bi responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the lork. If the contractor wishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lith a copy of "Florida's Construction Lien Law - Hollowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby .ade to obtain a perlit to do lork and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a perlit and that all MOrk lill be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverRlental agencies .ay apply to the intended work, and that it is .y responsibility to identify Ihat actions I lUst take to be in co.pliance. Such agencies include but are not li.ited to: I Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treataent I Southlest Florida Water "anaqeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of Enaineers - Seawalls, Docks, Navigable Waterways I Departaent of Health & Rehabilitative Services. Enyironaental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environaental Protection Aqency - Asbestos abateaent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating voluae" lill be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed lith the lork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the lork authorized by such perlit is cOllenced lithin six aonths of issuance, or if Mork authorized by the per.it is suspended or abandoned for a period of six aonths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be allowed for the per.it Mith fee charge of SI5.00. The extension shall be requested in Mriting to the Building Official. An approved inspection .ust be logged during each six aonth period, or the project will be considered abandoned. . WARNING TO OWNER: YOUR FAILURE TO RECORD A 1I0TlCE OF COItftENCEIIEIIT MY RESULT IN YOUR PAYING TWICE FOR I"PROYElIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIIlANCING, COMSUlT WITH YOUR LEIlDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF COlIfEJlCEIlENT. JOBS UMDER S2,500 IN VAlUE DO IIOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCE"EIH". . STATE OF flORIDA COUfnY OF STATE OF Fl.JIB.IDA COUNTY OF ~~5..LQ_ -----------------------------------------, {ollner} who is personally known to Ie or Mho has produced ________________ as identification and Mho did/did not take an oath. The foregoing instru.ent Mas ackn ledged tZ72(~~;~~1- __=.bY___, ';:lmtnc~Drf~ ..: . who is per~allY knoMnlo .e or who bas produced ~~I/.JI&IL'J.-.k~ ~-- as identification and ~o did/did not take an oath. The foregoing instru.ent was acknolledged before .e this ______, 19___ by ---------------------------------------- --------------- NOTARY PUBlIC . QARY 'PUBLIC